scholarly journals Development and validation of the disease - specific problems questionnaire for patients with multiple sclerosis

BMC Neurology ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ali Dehghani

Abstract Background Patients with multiple sclerosis face numerous problems during their lifetime. A self-report measurement of disease - specific problems is required to be developed for patients with multiple sclerosis based on different cultural factors. Accordingly, this can advance our understanding on the disease-specific problems for care planning as well as improving coping ways and quality of life. This study aimed to develop and validate the scale of disease-specific problems of Multiple Sclerosis. Methods This was an exploratory sequential mixed method study conducted in three phases. Correspondingly, in the first phase, the concept of disease-specific problems was defined using the content analysis approach in patients with MS. In the second phase, the item pool was generated from the findings of the first phase, and in the third phase, psychometric properties of the scale, including face, content, and construct validity and reliability, were evaluated. Results After examining both validity and reliability, 28 items were developed in the final questionnaire. As well, by performing the factor analysis, five factors were revealed as follows: physical problems, psychological problems, emotional problems, family problems, and socio-economic problems. Internal consistency and stability of the questionnaire were calculated as 0.82 and 0.90, respectively, indicating an excellent reliability. Conclusion The 28-item questionnaire is valid and reliable for measurement of level of disease - specific problems in Iranian people with MS.

2021 ◽  
Author(s):  
Ali Dehghani

Abstract Background Multiple sclerosis patients are faced with numerous problems during their illness. Development of a self-report measure of health problems in multiple sclerosis patients is required based on cultural factors, `which can advance our understanding of the level of health problems for care planning and improvement of coping and quality of life. The current study aimed to develop and validate the scale of health problems of Multiple Sclerosis. Methods This present study is an exploratory sequential mixed method study that was conducted in three phases. In the first phase, the concept of health problems in MS patients was defined using the content analysis approach. In the second phase, the item pool was generated from findings of the first phase. In the third phase, psychometric properties of the scale were evaluated including face, content and construct validity as well as reliability. Results After examining the psychometric properties of validity and reliability, 33 items were designed in the final questionnaire. Factor analyses revealed five factors: physical problems, psychological problems, emotional problems, family problems, and socio-economic problems. Internal consistency and stability of the developed questionnaire confirmed with 0.93 and 0.95 respectively that indicated excellent reliability. Conclusion The 33-item developed questionnaire is valid and reliable for measurement of levels of health problems in Iranian people with MS.


Author(s):  
Elīna Akmane ◽  
Kristīne Mārtinsone ◽  
Zane Krieķe ◽  
Viktorija Perepjolkina ◽  
Agnese Drunka ◽  
...  

The aim of this research was to develop multiscale questionnaire of professional identity (PI) and to test its psychometric properties. This research was conducted in 3 phases. During the first phase a scoping review, a focus group discussion, and a rapid literature review were conducted to identify the criteria of PI. Survey items were constructed and assessed in the second phase. The data were collected, and the psychometric properties were examined in the third phase. The survey was completed by 239 psychological help providers in Latvia (psychiatrists (n = 13), nurses (n = 37), psychotherapists (n = 8), art therapists (n = 45), psychologists (n = 55), psychotherapy specialists (n = 28) and social workers (n = 53)) aged between 22 and 80 years (M = 45.8; SD = 10.6) of which 95% women (n = 227) and 5% men (n = 12). As a result, 8 factors structure was confirmed (k = 38). Overall, it can be concluded that the survey examines a unified phenomenon, and the items are internally consistent on all scales (α = .715 - .873). The development of this questionnaire is an important step towards the research of PI.   


Author(s):  
Neda Yavari ◽  
Fariba Asghari ◽  
Zahra Shahvari ◽  
Saharnaz Nedjat ◽  
Bagher Larijani

It appears that up until now, no comprehensive tool has been developed to assess medical students’ attitudes toward the different dimensions of professionalism. The present study aimed to develop a comprehensive quantitative tool to evaluate medical students’ attitudes toward professionalism. This study consisted of two phases: The first phase was item generation and questionnaire design based on literature review and a qualitative survey. The qualitative data were extracted from 49 semi-structured individual interviews and one focus group discussion. In the second phase, the questionnaire was developed and its face, content, and structure validity and reliability were evaluated. To measure the construct validity of the questionnaire, a cross-sectional study was conducted on 354 medical students at different academic levels at Isfahan University of Medical Sciences. The final questionnaire was loaded on five factors. The factors accounted for 43.5% of the total variance. Moreover, Cronbach's alpha was 0.84 for the total scale, and the interclass correlation coefficient was 0.77 for the test-retest reliability. The 17-item questionnaire measuring medical students’ professional attitude had acceptable validity and reliability and can be adopted in other studies on physicians’ and medical students’ professional attitudes.   


2019 ◽  
Author(s):  
Azadeh Lak ◽  
Reihaneh Reihaneh Aghamolaei ◽  
Hamid Baradaran ◽  
Phyo K Myint

Abstract Background Considering the lack of specific measurement tools to study elders' perceptions in outdoor spaces, the study objectives were to derive and validate a questionnaire that assesses the essential features of elderly-friendly urban spaces. Methods We used closed-ended questions in two phases. In the first qualitative phase, a preliminary questionnaire was defined using grounded theory. In the second phase, the psychometric properties of the elderly-friendly urban spaces were examined through validity and reliability indices. Results The findings of the first phase led to a preliminary item extraction and questionnaire with 15 major domains based on three dimensions: place function, place preferences, and process. In the second phase, a 48-item questionnaire, based on three dimensions, in addition to personal characteristics, was introduced. Conclusions The Elderly-Friendly Urban Spaces Questionnaire (EFUSQ) can be adopted in various communities in understanding of how to create elder-friendly urban spaces to promote active aging.


2017 ◽  
Vol 19 (5) ◽  
pp. 247-252 ◽  
Author(s):  
Susan E. Bennett ◽  
Lacey E. Bromley ◽  
Nadine M. Fisher ◽  
Machiko R. Tomita ◽  
Paulette Niewczyk

Background: The gold standards for assessing ambulation are the Expanded Disability Status Scale (EDSS) and the Timed 25-Foot Walk (T25FW) test. In relation with these measures, we assessed the reliability and validity of four clinical gait measures: the Timed Up and Go (TUG) test, the Dynamic Gait Index (DGI), the 2-Minute Walk Test (2MWT), and the 6-Minute Walk Test (6MWT). Patient self-report of gait was also assessed using the 12-item Multiple Sclerosis Walking Scale (MSWS-12). Methods: Individuals 20 years or older with a diagnosis of multiple sclerosis (MS) and an EDSS score of 2.0 to 6.5 completed the MSWS-12, T25FW test, TUG test, DGI, 2MWT, and 6MWT. All the tests were repeated 2 weeks later at the same time of day to establish their reliability and concurrent validity. Predictive validity was established using the EDSS. Results: Forty-two patients with MS were included. All measures showed high test-retest reliability. The TUG test, 2MWT, and 6MWT were significantly correlated with the T25FW test (Spearman ρ = −0.902, −0.919, and −0.905, respectively). The EDSS was also significantly correlated with all the walking tests. The MSWS-12 demonstrated the highest correlation to the EDSS (ρ = 0.788). Conclusions: The TUG test, the DGI, the 2MWT, and the 6MWT exhibited strong psychometric properties and were found to be significant predictors of the EDSS score. Use of these tests to prospectively monitor the effects of medical and rehabilitation treatment should be considered in the comprehensive care of patients with MS.


2003 ◽  
Vol 9 (6) ◽  
pp. 621-626 ◽  
Author(s):  
Ruth Ann Marrie ◽  
Deborah M Miller ◽  
Gordon J Chelune ◽  
Jeffrey A Cohen

Multiple sclerosis (MS) has important effects on quality of life but it is unknown how cognitive impairment affects the ability to assess or report this. O ur objective was to determine whether cognitive impairment negatively affects the construct validity and the reliability of the Multiple Sclerosis Q uality of Life Inventory (MSQLI). A neuropsychological test batter y and the Multiple Sclerosis Functional C omposite (MSFC) were administered to a sample of 136 patients referred for cognitive testing by their neurologists. A ge, sex, educatio n and ethnicity-adjusted T scores were calculated for each cognitive variable. C ognitive impairment was defined as any T score less than the fifth percentile. The MSQ LI was administered prior to neuropsychological testing and readministered one to four weeks later. C orrelations between the MSFC and the SF-36 were determined and compared between the cognitively impaired and unimpaired groups as the main test of construct validity. Test -retest and internal consistency reliability of each of the scales were compared for the impaired and unimpaired groups. Seventy-six (56%) patients were cognitively impaired. C onstruct validity and internal consistency reliability did not differ between the cognitively impaired and unimpaired groups. Test -retest reliability was lower for the bladder and vision scales in the impaired group, but remained acceptable for the bladder scale (r >0.7). C ognitive impairment, a common MS manifestation, does not appear to reduce the reliability or validity of the MSQ LI as a patient self-report measure of health status and quality of life.


Pharmaceutics ◽  
2021 ◽  
Vol 13 (10) ◽  
pp. 1683
Author(s):  
Adina Turcu-Stiolica ◽  
Irina Paula Doica ◽  
Bogdan Silviu Ungureanu ◽  
Ion Rogoveanu ◽  
Dan Nicolae Florescu ◽  
...  

This study aims to develop a new self-report tool (HCV-AD) measuring adherence factors, intentional or unintentional, during Hepatitis C Virus (HCV) treatment with direct-acting antivirals (DAA) aiming to achieve high efficacy, otherwise resulting in drug resistance and treatment failure. Two phases were conducted: in the first phase, items were generated based on an extensive literature review, and, in the second phase, a prospective cohort study was conducted using HCV patients from Gastroenterology Department from University County Hospital of Craiova, Romania (n = 222), to evaluate the validity and reliability of the questionnaire. A number of 19 items were generated following a systematic review and through expert opinion. The internal consistency reliability was evaluated using Cronbach’s alpha. The construct validity was assessed using correlations with two other instruments: visual analog scale (VAS) and medication possession ratio (MPR). The final questionnaire (HCV-AD10) was derived through exploratory factor analysis, with 82% of total variance explained. This instrument appeared as a reliable and valid measure for medication adherence, with Cronbach’s alpha (0.867) and significant high positive correlations between adherence scores calculated with HCV-AD10 and VAS (ρ = 0.61, p < 0.001) or with HCV-AD10 and MPR (ρ = 0.75, p < 0.001). This research would make a worthwhile contribution to HCV management.


2018 ◽  
Vol 16 (1) ◽  
pp. 107
Author(s):  
Eko Setiawan ◽  
Dewi Paskalia Andi Djawaria ◽  
Adji Prayitno

Factors attributing to the behavior of non-prescription used of antibiotics in Indonesia setting have not been identified yet. The availability of effective and efficient instrument or method to identify the attributing factors might be the cause of non-optimal identifying process. The objective of present study was to develop instrument, i.e questionnaire, to identify factors contributing to the behavior of non-prescription used of antibiotics. The questionnaire was developed based on factors identified on published scientific literatures. Face and content validity were conducted by having the experts’ judgement, while the construct validity was conducted by using the Spearman Correlation Test. Reliability was tested by using Cronbach’s alpha test. There were 14 rating and 8 multiple answer questions in the questionnaire that could be classified unto 5 domains. After conducting the validity and reliability test, the final questionnaire had a R value 0.276-0.628 and Cronbach’s alpha 0.833. This valid and reliable questionnaire could be used to portray the attributing factors of non-prescription used of antibiotics in larger area, therefore, the most appropriate intervention could be planeed based on the identified factors.


Psicologia ◽  
2020 ◽  
Vol 34 (1) ◽  
pp. 174-194
Author(s):  
Vanessa Azevedo ◽  
Carla Martins ◽  
Ângela Maia

This paper describes the development, validation, and reliability of a new measure to assess life experiences reported by adults, the Lifetime Experiences Scale (LIFES). This scale is important because no available measure focuses on both positive and negative life experiences and covers childhood, adolescence, and adulthood. LIFES is a self-report measure consisting of two sections: 75 items (organized into eight domains: school, work, health, leisure, life conditions, adverse experiences, achievements, and people and relationships) regarding lived experiences and blank spaces for non-lived (but desired) experiences. The procedures involved in the development of LIFES are described in detail (e.g., construct, generation of items and questions). Moreover, evidence based on test content, response processes, relations to other variables, and different classes of reliability for community samples are presented. Overall, the results suggest that LIFES presented good evidence of validity and reliability  and can be a valuable tool for research and clinical purposes.


2018 ◽  
Vol 11 (10) ◽  
pp. 52
Author(s):  
Shih Huei-Ju

This article aims at proposing a new measurement to assess the effects of language learners&rsquo; goal-setting behavior, as an alternative to the traditional open-ended questionnaire. This goal-setting instrument was carefully developed through three phases. In the first phase, an item pool was generated. In the second phase, a pilot study was carried out with a view to modifying the weak points of the questionnaire. In the third phase, a final version of the questionnaire was distributed among participants for evaluating the practicality. The evaluation of the psychometric properties of the final instrument was made using confirmatory factor analyses (CFA), with the validity and reliability being evaluated. The results indicate that the proposed instrument yields satisfactory characteristics and that the theoretical model bears a good fit with the data. The researcher proposes that the instrument presented in this study can provide a more psychometrically sound measure of goal-setting in learning a second language than traditional open-ended questionnaires.


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